基于患者角色体验的体位管理对体位摆放评分及手术效率的影响

Effects of position management based on patient role experience on position placement score and surgical efficiency

目的探究基于患者角色体验的体位管理对体位摆放评分及手术效率的影响。方法选取2018年1月至2021年12月期间于南阳市第一人民医院进行手术的82例患者为研究对象,采用随机数字表法分为两组,各41例。研究组男20例、女21例,年龄(41.25±5.68)岁,进行基于患者角色体验的体位管理;常规组男23例、女18例,年龄(43.52±6.74)岁,进行常规体位护理。评估两组患者体位摆放评分、疼痛[视觉模拟评分法(VAS)评分]、焦虑情绪[汉密尔顿焦虑量表(HAMA)评分],记录患者手术治疗过程中及术后出血量及手术时间。采用t检验、χ^(2)检验。结果研究组呼吸循环[(22.85±3.58)分]、保护患者的隐私[(20.52±3.42)分]、体位用物的选择[(23.85±4.12)分]、术野暴露面积评分[(25.32±4.25)分]均高于常规组[(18.25±3.01)分、(17.52±2.85)分、(19.25±3.11)分、(22.25±3.50)分],差异均有统计学意义(t=6.297、4.315、5.706、3.570,均P<0.001)。研究组HAMA评分[(16.98±3.11)分]、VAS评分[(3.06±0.48)分]均低于常规组[(19.98±3.87)分、(5.52±0.59)分],差异均有统计学意义(t=3.869、9.994,均P<0.001)。研究组术中出血量[(112.58±16.58)ml]、术后出血量[(35.24±5.25)ml]均少于常规组[(123.52±17.51)ml、(40.36±6.14)ml],手术时间[(1.02±0.14)h]短于常规组[(1.35±0.21)h],差异均有统计学意义(t=2.905、4.058、8.372,均P<0.001)。结论基于患者角色体验的体位管理有利于提高患者体位摆放评分,缓解疼痛,改善不良情绪,提高手术效率,值得推广。

Objective To explore the effects of position management based on patient role experience on position placement score and surgical efficiency.Methods A total of 82 patients who underwent surgery in Nanyang First People's Hospital from January 2018 to December 2021 were selected and were divided into 2 groups by the random number table method,with 41 patients in each group.In the study group,there were 20 males and 21 females,aged(41.25±5.68)years.In the routine group,there were 23 males and 18 females,aged(43.52±6.74)years.The study group performed position management based on patient role experience,while the routine group performed routine position nursing.The position placement scores,pain[Visual Analogue Scale(VAS)score],and anxiety[Hamilton Anxiety Scale(HAMA)score]of the two groups were evaluated,and the amounts of blood loss during and after surgery and the operation time of the two groups were recorded.t test andχ^(2)test were used.Results The scores of respiratory circulation[(22.85±3.58)points],protection of patient privacy[(20.52±3.42)points],selection of body positions[(23.85±4.12)points],and surgical field exposure[(25.32±4.25)points]in the study group were higher than those in the routine group[(18.25±3.01)points,(17.52±2.85)points,(19.25±3.11)points,and(22.25±3.50)points],with statistically significant differences(t=6.297,4.315,5.706,and 3.570;all P<0.001).The HAMA score[(16.98±3.11)points]and VAS score[(3.06±0.48)points]of the study group were lower than those of the routine group[(19.98±3.87)points and(5.52±0.59)points],with statistically significant differences(t=3.869 and 9.994,both P<0.001).The amount of intraoperative blood loss[(112.58±16.58)ml]and postoperative blood loss[(35.24±5.25)ml]in the study group were less than those in the routine group[(123.52±17.51)ml and(40.36±6.14)ml],and the operation time[(1.02±0.14)h]was shorter than that in the routine group[(1.35±0.21)h],with statistically significant differences(t=2.905,4.058,and 8.372,all P<0.001).Conclusion Position management based on patient role experience is beneficial to improve the position placement score,relieve the pain,and improve the adverse moods and surgical efficiency,which is worth promoting.